Individual provider · Type 1 NPI

Traci Lauder

Physical Therapy Assistant · Portage, IN

NPI number 1265631220 Active

Practice location

6040 Lute Rd
Portage, IN 46368-5008

Call (219) 763-6858 Map

Mailing address

539 S 300 E
Kouts, IN 46347

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002130A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1265631220

Traci Lauder's National Provider Identifier is 1265631220, issued on Jul 11, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portage, IN. The record was last updated on Jul 11, 2007.